侧位和斜位腰椎椎间融合术的比较回顾:技术、结果和并发症。

IF 1.7 Q2 SURGERY
Jae-Young Hong, Jaewan Soh
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引用次数: 0

摘要

微创脊柱外科已经取得了巨大的进步。腹膜后侧位腰椎椎体间融合术和斜位腰椎椎体间融合术越来越多地用于治疗各种腰椎疾病。与其他微创技术一样,理论上的优势包括减少失血,由于更少的回缩和更小的切口而改善术后疼痛,更快的恢复,并且不需要入路外科医生。它允许放置跨越椎体的大型椎笼,实现间接减压以及冠状面和矢状面畸形矫正。随着经验的增长和技术的进一步发展,适应症可能会超越目前的局限性。然而,随着这些技术的不断普及,需要基于证据的风险分层系统。本研究回顾了关于侧位腰椎椎体间融合术和斜位腰椎椎体间融合术的发展和应用的文献,并讨论了其结果、侧位技术的入路相关并发症和新研究领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications.

Minimally invasive spinal surgery has made tremendous progress. The retroperitoneal lateral lumbar interbody fusion and oblique lumbar interbody fusion techniques are increasingly used to treat a variety of lumbar spinal conditions. As with other minimally invasive techniques, the theoretical advantages include reduced blood loss, improved postoperative pain due to less retraction and smaller incisions, faster recovery, and eliminating the need for an approach surgeon. It allows the placement of a large cage that spans the apophyses and enables the achievement of indirect decompression as well as coronal and sagittal deformity correction. As experience grows and the techniques evolve further, indications might be expanded beyond their current limitations. However, as these techniques continue to grow in popularity, evidence-based risk-stratification systems are required. This study reviews the literature about the development and application of lateral lumbar interbody fusion and oblique lumbar interbody fusion, with a discussion of its outcomes, approach-related complications specific to the lateral technique, and areas of new research.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
162
期刊介绍: The International Journal of Spine Surgery is the official scientific journal of ISASS, the International Intradiscal Therapy Society, the Pittsburgh Spine Summit, and the Büttner-Janz Spinefoundation, and is an official partner of the Southern Neurosurgical Society. The goal of the International Journal of Spine Surgery is to promote and disseminate online the most up-to-date scientific and clinical research into innovations in motion preservation and new spinal surgery technology, including basic science, biologics, and tissue engineering. The Journal is dedicated to educating spine surgeons worldwide by reporting on the scientific basis, indications, surgical techniques, complications, outcomes, and follow-up data for promising spinal procedures.
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